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	<title></title>		
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	<header class="ub ub-ac">
		<div class="leftBtn click">
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		<div class="ub-f1 ut-s tx-c title">预约服务</div>
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	<article class="index_cus ub ub-ver">
		<section class="cus_top">
			<hgroup>信息填写</hgroup>
			<ul class="cus_top_list">
				<li class="cus_top_sin ub ub-ac">
					<p>维修项目：　</p>
					<div class="ub-f1"><input type="text" value="电力维修"></div>
				</li>
				<li class="cus_top_sin ub ub-ac">
					<p>维修地址：　</p>
					<div class="ub-f1"><input type="text" value="北顺城社区"></div>
				</li>
				<li class="cus_top_sin ub ub-ac">
					<p>联系人　：　</p>
					<div class="ub-f1"><input type="text" value="张三"></div>
				</li>
				<li class="cus_top_sin ub ub-ac">
					<p>手机号码：　</p>
					<div class="ub-f1"><input type="text" value="15066666666"></div>
				</li>
			</ul>
		</section>
		<section>
			<hgroup>维修描述</hgroup>
			<section class="cus_btm">
				<ul class="cus_btm_list">
					<li class="im_addImg cus_btm_img ub-img addImgBtn"></li>
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				<p class="box_sizing"><textarea placeholder="如果您有更详细的说明，请备注"></textarea></p>
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